David Aloysius Hallenbeck, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

33482 Issued in TX

Practice address

25760 Kuykendahl Rd Ste a
Tomball, TX 77375-2733

Phone

(713) 944-4199

NPI assigned

Apr 4, 2017

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David a. Hallenbeck, DDS, PLLC

  dba Creekside Pediatric Dentistry

  • Pediatric Dentistry
  • Tomball, TX
  • NPI 1225640600
  NPD Authorized official
• Jamboree Dentistry III PLLC

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1225538788
  NPD (past)
• Rayford Modern Dentistry, PC

  dba Rayford Modern Dentistry

  • Dentist
  • Spring, TX
  • NPI 1366815763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1790218154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W GREYWING CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773821103",
            "telephone_number": "329-789-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25760 KUYKENDAHL RD STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752733",
            "telephone_number": "713-944-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6336 Telephone Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770875410",
            "country_code": "US",
            "telephone_number": "713-644-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 North Fwy # 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770223604",
            "country_code": "US",
            "telephone_number": "832-834-7973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12924 Willow Chase Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770705641",
            "country_code": "US",
            "telephone_number": "832-930-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLENBECK",
        "first_name": "DAVID",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hae J Doh DDS, PLLC (Dental Frontiers & Associates)
• ABA Hagan, FNP
• Breyan Hagans
• Ninra Haggins
• Stephanie Haglund, COTA
• Deelanie Hallmark, COTA
• Alexi Halstead
• Alaa Hamad
• Toby Hamilton, M.D.
• Vida L Hamlet

• Pediatric Dentistry in Tomball, TX
• Providers in Tomball, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.